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Berrington de González A, Masten SA, Bhatti P, Fortner RT, Peters S, Santonen T, Yakubovskaya MG, Barouki R, Barros SBM, Barupal D, Beane Freeman LE, Calaf GM, Dillner J, El Rhazi K, Fritschi L, Fukushima S, Godderis L, Kogevinas M, Lachenmeier DW, Mandrioli D, Muchengeti MM, Niemeier RT, Pappas JJ, Pi J, Purdue MP, Riboli E, Rodríguez T, Schlünssen V, Benbrahim-Tallaa L, de Conti A, Facchin C, Pasqual E, Wedekind R, Ahmadi A, Chittiboyina S, Herceg Z, Kulasingam S, Lauby-Secretan B, MacLehose R, Sanaa M, Schüz J, Suonio E, Zavadil J, Mattock H, Madia F, Schubauer-Berigan MK. Advisory Group recommendations on priorities for the IARC Monographs. Lancet Oncol 2024:S1470-2045(24)00208-0. [PMID: 38621402 DOI: 10.1016/s1470-2045(24)00208-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/17/2024]
Affiliation(s)
| | - Scott A Masten
- International Agency for Research on Cancer, Lyon, France
| | - Parveen Bhatti
- International Agency for Research on Cancer, Lyon, France
| | | | - Susan Peters
- International Agency for Research on Cancer, Lyon, France
| | - Tiina Santonen
- International Agency for Research on Cancer, Lyon, France
| | | | - Robert Barouki
- International Agency for Research on Cancer, Lyon, France
| | | | - Dinesh Barupal
- International Agency for Research on Cancer, Lyon, France
| | | | - Gloria M Calaf
- International Agency for Research on Cancer, Lyon, France
| | - Joakim Dillner
- International Agency for Research on Cancer, Lyon, France
| | | | - Lin Fritschi
- International Agency for Research on Cancer, Lyon, France
| | | | - Lode Godderis
- International Agency for Research on Cancer, Lyon, France
| | | | | | | | | | | | - Jane J Pappas
- International Agency for Research on Cancer, Lyon, France
| | - Jingbo Pi
- International Agency for Research on Cancer, Lyon, France
| | - Mark P Purdue
- International Agency for Research on Cancer, Lyon, France
| | - Elio Riboli
- International Agency for Research on Cancer, Lyon, France
| | | | | | | | - Aline de Conti
- International Agency for Research on Cancer, Lyon, France
| | | | - Elisa Pasqual
- International Agency for Research on Cancer, Lyon, France
| | | | - Ayat Ahmadi
- International Agency for Research on Cancer, Lyon, France
| | | | - Zdenko Herceg
- International Agency for Research on Cancer, Lyon, France
| | | | | | | | - Moez Sanaa
- International Agency for Research on Cancer, Lyon, France
| | - Joachim Schüz
- International Agency for Research on Cancer, Lyon, France
| | - Eero Suonio
- International Agency for Research on Cancer, Lyon, France
| | - Jiri Zavadil
- International Agency for Research on Cancer, Lyon, France
| | - Heidi Mattock
- International Agency for Research on Cancer, Lyon, France
| | - Federica Madia
- International Agency for Research on Cancer, Lyon, France
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Mahajan P, Fiehn O, Barupal D. IDSL.GOA: gene ontology analysis for interpreting metabolomic datasets. Sci Rep 2024; 14:1299. [PMID: 38221536 PMCID: PMC10788336 DOI: 10.1038/s41598-024-51992-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 01/11/2024] [Indexed: 01/16/2024] Open
Abstract
Biological interpretation of metabolomic datasets often ends at a pathway analysis step to find the over-represented metabolic pathways in the list of statistically significant metabolites. However, definitions of biochemical pathways and metabolite coverage vary among different curated databases, leading to missed interpretations. For the lists of genes, transcripts and proteins, Gene Ontology (GO) terms over-presentation analysis has become a standardized approach for biological interpretation. But, GO analysis has not been achieved for metabolomic datasets. We present a new knowledgebase (KB) and the online tool, Gene Ontology Analysis by the Integrated Data Science Laboratory for Metabolomics and Exposomics (IDSL.GOA) to conduct GO over-representation analysis for a metabolite list. The IDSL.GOA KB covers 2393 metabolic GO terms and associated 3144 genes, 1,492 EC annotations, and 2621 metabolites. IDSL.GOA analysis of a case study of older versus young female brain cortex metabolome highlighted 82 GO terms being significantly overrepresented (FDR < 0.05). We showed how IDSL.GOA identified key and relevant GO metabolic processes that were not yet covered in other pathway databases. Overall, we suggest that interpretation of metabolite lists should not be limited to only pathway maps and can also leverage GO terms as well. IDSL.GOA provides a useful tool for this purpose, allowing for a more comprehensive and accurate analysis of metabolite pathway data. IDSL.GOA tool can be accessed at https://goa.idsl.me/ .
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Affiliation(s)
- Priyanka Mahajan
- Integrated Data Science Laboratory for Metabolomics and Exposomics, Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, 10954, USA
| | - Oliver Fiehn
- NIH-West Coast Metabolomics Center, University of California, Davis, CA, 95616, USA
| | - Dinesh Barupal
- Integrated Data Science Laboratory for Metabolomics and Exposomics, Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, 10954, USA.
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3
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Mahajan P, Fiehn O, Barupal D. IDSL.GOA: Gene Ontology Analysis for Interpreting Metabolomic datasets. bioRxiv 2024:2023.03.25.534225. [PMID: 37034715 PMCID: PMC10081191 DOI: 10.1101/2023.03.25.534225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 04/17/2023]
Abstract
Biological interpretation of metabolomic datasets often ends at a pathway analysis step to find the over-represented metabolic pathways in the list of statistically significant metabolites. However, definitions of biochemical pathways and metabolite coverage vary among different curated databases, leading to missed interpretations. For the lists of genes, transcripts and proteins, Gene Ontology (GO) terms over-presentation analysis has become a standardized approach for biological interpretation. But, GO analysis has not been achieved for metabolomic datasets. We present a new knowledgebase (KB) and the online tool, Gene Ontology Analysis by the Integrated Data Science Laboratory for Metabolomics and Exposomics (IDSL.GOA) to conduct GO over-representation analysis for a metabolite list. The IDSL.GOA KB covers 2,393 metabolic GO terms and associated 3,144 genes, 1,492 EC annotations, and 2,621 metabolites. IDSL.GOA analysis of a case study of older vs young female brain cortex metabolome highlighted 82 GO terms being significantly overrepresented (FDR <0.05). We showed how IDSL.GOA identified key and relevant GO metabolic processes that were not yet covered in other pathway databases. Overall, we suggest that interpretation of metabolite lists should not be limited to only pathway maps and can also leverage GO terms as well. IDSL.GOA provides a useful tool for this purpose, allowing for a more comprehensive and accurate analysis of metabolite pathway data. IDSL.GOA tool can be accessed at https://goa.idsl.me/.
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Affiliation(s)
- Priyanka Mahajan
- Integrated Data Science Laboratory for Metabolomics and Exposomics, Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, USA 10954
| | - Oliver Fiehn
- NIH-West Coast Metabolomics Center, University of California, Davis, California, 95616, USA
| | - Dinesh Barupal
- Integrated Data Science Laboratory for Metabolomics and Exposomics, Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, USA 10954
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4
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India-Aldana S, Yao M, Midya V, Colicino E, Chatzi L, Chu J, Gennings C, Jones DP, Loos RJF, Setiawan VW, Smith MR, Walker RW, Barupal D, Walker DI, Valvi D. PFAS Exposures and the Human Metabolome: A Systematic Review of Epidemiological Studies. Curr Pollut Rep 2023; 9:510-568. [PMID: 37753190 PMCID: PMC10520990 DOI: 10.1007/s40726-023-00269-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/03/2023] [Indexed: 09/28/2023]
Abstract
Purpose of Review There is a growing interest in understanding the health effects of exposure to per- and polyfluoroalkyl substances (PFAS) through the study of the human metabolome. In this systematic review, we aimed to identify consistent findings between PFAS and metabolomic signatures. We conducted a search matching specific keywords that was independently reviewed by two authors on two databases (EMBASE and PubMed) from their inception through July 19, 2022 following PRISMA guidelines. Recent Findings We identified a total of 28 eligible observational studies that evaluated the associations between 31 different PFAS exposures and metabolomics in humans. The most common exposure evaluated was legacy long-chain PFAS. Population sample sizes ranged from 40 to 1,105 participants at different stages across the lifespan. A total of 19 studies used a non-targeted metabolomics approach, 7 used targeted approaches, and 2 included both. The majority of studies were cross-sectional (n = 25), including four with prospective analyses of PFAS measured prior to metabolomics. Summary Most frequently reported associations across studies were observed between PFAS and amino acids, fatty acids, glycerophospholipids, glycerolipids, phosphosphingolipids, bile acids, ceramides, purines, and acylcarnitines. Corresponding metabolic pathways were also altered, including lipid, amino acid, carbohydrate, nucleotide, energy metabolism, glycan biosynthesis and metabolism, and metabolism of cofactors and vitamins. We found consistent evidence across studies indicating PFAS-induced alterations in lipid and amino acid metabolites, which may be involved in energy and cell membrane disruption.
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Affiliation(s)
- Sandra India-Aldana
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
| | - Meizhen Yao
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
| | - Vishal Midya
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
| | - Elena Colicino
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
| | - Leda Chatzi
- Department of Population and Public Health Sciences, Keck
School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Jaime Chu
- Department of Pediatrics, Icahn School of Medicine at Mount
Sinai, New York, NY, USA
| | - Chris Gennings
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
| | - Dean P. Jones
- Clinical Biomarkers Laboratory, Division of Pulmonary,
Allergy, Critical Care and Sleep Medicine, Emory University, Atlanta, GA, USA
| | - Ruth J. F. Loos
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
- Charles Bronfman Institute for Personalized Medicine, Icahn
School of Medicine at Mount Sinai, New York, NY, USA
- Faculty of Health and Medical Sciences, Novo Nordisk
Foundation Center for Basic Metabolic Research, University of Copenhagen,
Copenhagen, Denmark
| | - Veronica W. Setiawan
- Department of Population and Public Health Sciences, Keck
School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Mathew Ryan Smith
- Clinical Biomarkers Laboratory, Division of Pulmonary,
Allergy, Critical Care and Sleep Medicine, Emory University, Atlanta, GA, USA
- Veterans Affairs Medical Center, Decatur, GA, USA
| | - Ryan W. Walker
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
| | - Dinesh Barupal
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
| | - Douglas I. Walker
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
| | - Damaskini Valvi
- Department of Environmental Medicine and Public Health,
Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1057, New
York, NY 10029, USA
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5
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Chehab R, Kwok A, Fiehn O, Thiele I, Ngo A, Barupal D, Quesenberry C, Ferrara A, Zhu Y. Maternal Microbial Metabolites and Risk of Fetal Growth Extremes: A Longitudinal Multi-Racial/Ethnic Cohort Study. Curr Dev Nutr 2022. [PMCID: PMC9193487 DOI: 10.1093/cdn/nzac061.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objectives Fetal growth extremes [small- and large-for-gestational age (SGA and LGA)] represent high-risk phenotypes for cardiometabolic disorders. Metabolomic profiling of the in-utero milieu may elucidate pathophysiology of fetal growth extremes and inform dietary recommendations and upstream risk factors. We aimed to identify microbiome-derived metabolites associated with SGA and LGA. Methods A random sample of 140 SGA, 134 LGA and 140 appropriate for gestational age (AGA) was drawn from the Pregnancy Environment and Lifestyle Study cohort. Using fasting serum at gestational weeks (GW) 10–13 and 16–19,1167 known metabolites were measured by gas and liquid chromatography (LC)/time-of-flight mass spectrometry (TOF-MS) and hydrophilic interaction LC/quadrupole TOF-MS, of which 165 microbial metabolites were linked with the Virtual Metabolic Human Database. After adjusting for sociodemographic, lifestyle, reproductive history, and clinical factors, we identified significant pathways associated with risk of SGA and LGA vs. AGA using chemical similarity enrichment analysis, controlling for the false discovery rate (PFDR). Results At GW 10–13, branched-chain amino acids (AA), dicarboxylic acids (DA) and medium-chain hydroxy acids were positively, while phosphatidylcholines, saturated fatty acids (FA) and glucogenic AA were inversely associated with SGA risk (all PFDR < 0.01). At GW 16–19, positive associations of branched-chain AA and DA and inverse associations of saturated FA with SGA risk persisted, while unsaturated triglycerides (TG) were inversely associated with SGA risk (all PFDR < 0.01). At GW 10–13, glucogenic AA, DA, hippurates, phenylacetylglutamine and cresols were positively, whereas phosphatidylcholine and unsaturated TG were inversely associated with LGA risk (all PFDR < 0.04). At GW 16–19, carnitine, saturated TG, cyclic AA, DA, glyceric acids, phenylacetylglutamine and cresols were positively, while aromatic, basic and sulfur AA, sugar alcohols, phosphatidylcholines and unsaturated TG were inversely associated with LGA risk (all PFDR < 0.05). Conclusions Distinct microbial metabolites in early to mid-pregnancy are associated with SGA and LGA risk, calling for further investigation into microbiome-metabolome-host interactions. Funding Sources The research was supported by NIDDK, NIEHS, and NIH Office of Directors.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Yeyi Zhu
- Kaiser Permanente Northern California
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6
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Petrick LM, Wolff MS, Barupal D, Teitelbaum SL. Comparison of untargeted and targeted perfluoroalkyl acids measured in adolescent girls. Chemosphere 2022; 290:133303. [PMID: 34921852 PMCID: PMC8770605 DOI: 10.1016/j.chemosphere.2021.133303] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 12/02/2021] [Accepted: 12/12/2021] [Indexed: 06/14/2023]
Abstract
Quantitative biomonitoring (e.g., targeted analysis) has served as the gold standard for environmental exposure biomonitoring for several decades. Recent advancements to broaden exposomic research brought new semi-quantitative untargeted assays that capture a wide range of endogenous metabolites and exogenous exposures in a single assay for discovery, though usually at the expense of absolute quantitation. The high-resolution mass spectrometers (HRMS) typically used in untargeted workflows are sensitive and robust, but there do not yet exist comprehensive comparisons between environmental chemicals at population exposure levels measured using targeted and untargeted assays. Using liquid chromatography (LC)-HRMS, we measured per- and polyfluoroalkyl substances (PFAS) including perfluorohexane sulfonate (PFHxS), n-perfluorooctanoic acid (PFOA), n-perfluorooctanesulfonic acid (PFOS), and perfluorononanoic acid (PFNA) in plasma of 180 girls from New York City, and compared them to previously obtained targeted measures using correlation and rank order methods. We showed high agreement between the methods with Spearman Rhos ranging from 0.69 to 0.92 and weighted Kappa's from 0.62 to 0.82 for tertiles among the PFAS. This finding demonstrates that semi-quantitative data from untargeted assays designed for exposomics can be reliably used to estimate environmental exposures occurring in the general population, providing an economic alternative to targeted assays. We also describe an approach that can be used to compare relative quantitation measurements from an untargeted assay to traditional targeted measures to establish fit-for-purpose usability and validation. These results suggest that environmental exposure measures from untargeted assays can serve as reliable inputs into statistical analysis for discovery and for determining their resultant biological impacts. Future efforts to develop new statistical approaches for standardization and merging with targeted measures-toward harmonization-will further enhance the utility of untargeted assays in environmental epidemiology.
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Affiliation(s)
- Lauren M Petrick
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
| | - Mary S Wolff
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA
| | - Dinesh Barupal
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA
| | - Susan L Teitelbaum
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA
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7
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Koelmel JP, Xie H, Price EJ, Lin EZ, Manz KE, Stelben P, Paige MK, Papazian S, Okeme J, Jones DP, Barupal D, Bowden JA, Rostkowski P, Pennell KD, Nikiforov V, Wang T, Hu X, Lai Y, Miller GW, Walker DI, Martin JW, Godri Pollitt KJ. An actionable annotation scoring framework for gas chromatography-high-resolution mass spectrometry. Exposome 2022; 2:osac007. [PMID: 36483216 PMCID: PMC9719826 DOI: 10.1093/exposome/osac007] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 07/28/2022] [Accepted: 08/03/2022] [Indexed: 04/16/2023]
Abstract
Omics-based technologies have enabled comprehensive characterization of our exposure to environmental chemicals (chemical exposome) as well as assessment of the corresponding biological responses at the molecular level (eg, metabolome, lipidome, proteome, and genome). By systematically measuring personal exposures and linking these stimuli to biological perturbations, researchers can determine specific chemical exposures of concern, identify mechanisms and biomarkers of toxicity, and design interventions to reduce exposures. However, further advancement of metabolomics and exposomics approaches is limited by a lack of standardization and approaches for assigning confidence to chemical annotations. While a wealth of chemical data is generated by gas chromatography high-resolution mass spectrometry (GC-HRMS), incorporating GC-HRMS data into an annotation framework and communicating confidence in these assignments is challenging. It is essential to be able to compare chemical data for exposomics studies across platforms to build upon prior knowledge and advance the technology. Here, we discuss the major pieces of evidence provided by common GC-HRMS workflows, including retention time and retention index, electron ionization, positive chemical ionization, electron capture negative ionization, and atmospheric pressure chemical ionization spectral matching, molecular ion, accurate mass, isotopic patterns, database occurrence, and occurrence in blanks. We then provide a qualitative framework for incorporating these various lines of evidence for communicating confidence in GC-HRMS data by adapting the Schymanski scoring schema developed for reporting confidence levels by liquid chromatography HRMS (LC-HRMS). Validation of our framework is presented using standards spiked in plasma, and confident annotations in outdoor and indoor air samples, showing a false-positive rate of 12% for suspect screening for chemical identifications assigned as Level 2 (when structurally similar isomers are not considered false positives). This framework is easily adaptable to various workflows and provides a concise means to communicate confidence in annotations. Further validation, refinements, and adoption of this framework will ideally lead to harmonization across the field, helping to improve the quality and interpretability of compound annotations obtained in GC-HRMS.
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Affiliation(s)
- Jeremy P Koelmel
- Department of Environmental Health Science, Yale School of Public Health, New Haven, CT, USA
| | - Hongyu Xie
- Department of Environmental Science, Science for Life Laboratory, Stockholm University, Stockholm, Sweden
| | - Elliott J Price
- RECETOX, Faculty of Science, Masaryk University, Kotlarska 2, Brno, Czech Republic
| | - Elizabeth Z Lin
- Department of Environmental Health Science, Yale School of Public Health, New Haven, CT, USA
| | | | - Paul Stelben
- Department of Environmental Health Science, Yale School of Public Health, New Haven, CT, USA
| | - Matthew K Paige
- Department of Environmental Health Science, Yale School of Public Health, New Haven, CT, USA
| | - Stefano Papazian
- Department of Environmental Science, Science for Life Laboratory, Stockholm University, Stockholm, Sweden
- National Facility for Exposomics, Metabolomics Platform, Science for Life Laboratory, Stockholm University, Solna 171 65, Sweden
| | - Joseph Okeme
- Department of Environmental Health Science, Yale School of Public Health, New Haven, CT, USA
| | - Dean P Jones
- School of Medicine, Department of Medicine, Emory University, Atlanta, GA, USA
| | - Dinesh Barupal
- Icahn School of Medicine at Mount Sinai, Department of Environmental Medicine and Public Health, New York, NY, USA
| | - John A Bowden
- Department of Physiological Sciences, Center for Environmental and Human Toxicology, University of Florida, Gainesville, FL, USA
- Department of Chemistry, University of Florida, Gainesville, FL, USA
| | | | - Kurt D Pennell
- School of Engineering, Brown University, Providence, RI, USA
| | | | - Thanh Wang
- MTM Research Centre, Örebro University, Örebro, Sweden
| | - Xin Hu
- School of Medicine, Department of Medicine, Emory University, Atlanta, GA, USA
| | - Yunjia Lai
- Mailman School of Public Health, Department of Environmental Health Sciences, Columbia University, New York, NY, USA
| | - Gary W Miller
- Mailman School of Public Health, Department of Environmental Health Sciences, Columbia University, New York, NY, USA
| | | | - Jonathan W Martin
- Department of Environmental Science, Science for Life Laboratory, Stockholm University, Stockholm, Sweden
- National Facility for Exposomics, Metabolomics Platform, Science for Life Laboratory, Stockholm University, Solna 171 65, Sweden
| | - Krystal J Godri Pollitt
- To whom correspondence should be addressed: (Krystal J. Godri Pollitt) and (Douglas I. Walker)
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8
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Gao B, Duan Y, Lang S, Barupal D, Wu TC, Valdiviez L, Roberts B, Choy YY, Shen T, Byram G, Zhang Y, Fan S, Wancewicz B, Shao Y, Vervier K, Wang Y, Zhou R, Jiang L, Nath S, Loomba R, Abraldes JG, Bataller R, Tu XM, Stärkel P, Lawley TD, Fiehn O, Schnabl B. Functional Microbiomics Reveals Alterations of the Gut Microbiome and Host Co-Metabolism in Patients With Alcoholic Hepatitis. Hepatol Commun 2020; 4:1168-1182. [PMID: 32766476 PMCID: PMC7395072 DOI: 10.1002/hep4.1537] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 04/19/2020] [Accepted: 04/26/2020] [Indexed: 12/17/2022] Open
Abstract
Alcohol‐related liver disease is a major public health burden, and the gut microbiota is an important contributor to disease pathogenesis. The aim of the present study is to characterize functional alterations of the gut microbiota and test their performance for short‐term mortality prediction in patients with alcoholic hepatitis. We integrated shotgun metagenomics with untargeted metabolomics to investigate functional alterations of the gut microbiota and host co‐metabolism in a multicenter cohort of patients with alcoholic hepatitis. Profound changes were found in the gut microbial composition, functional metagenome, serum, and fecal metabolomes in patients with alcoholic hepatitis compared with nonalcoholic controls. We demonstrate that in comparison with single omics alone, the performance to predict 30‐day mortality was improved when combining microbial pathways with respective serum metabolites in patients with alcoholic hepatitis. The area under the receiver operating curve was higher than 0.85 for the tryptophan, isoleucine, and methionine pathways as predictors for 30‐day mortality, but achieved 0.989 for using the urea cycle pathway in combination with serum urea, with a bias‐corrected prediction error of 0.083 when using leave‐one‐out cross validation. Conclusion: Our study reveals changes in key microbial metabolic pathways associated with disease severity that predict short‐term mortality in our cohort of patients with alcoholic hepatitis.
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Affiliation(s)
- Bei Gao
- Department of Medicine University of California San Diego La Jolla CA
| | - Yi Duan
- Department of Medicine University of California San Diego La Jolla CA.,Department of Medicine VA San Diego Healthcare System San Diego CA
| | - Sonja Lang
- Department of Medicine University of California San Diego La Jolla CA
| | - Dinesh Barupal
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Tsung-Chin Wu
- Division of Mathematics University of California San Diego San Diego CA
| | - Luis Valdiviez
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Bryan Roberts
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Ying Yng Choy
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Tong Shen
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Gregory Byram
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Ying Zhang
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Sili Fan
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Benjamin Wancewicz
- Department of Cell and Regenerative Biology University of Wisconsin-Madison Madison WI
| | - Yan Shao
- Host-Microbiota Interactions Laboratory Wellcome Sanger Institute Wellcome Genome Campus Hinxton United Kingdom
| | - Kevin Vervier
- Host-Microbiota Interactions Laboratory Wellcome Sanger Institute Wellcome Genome Campus Hinxton United Kingdom
| | - Yanhan Wang
- Department of Medicine University of California San Diego La Jolla CA.,Department of Medicine VA San Diego Healthcare System San Diego CA
| | - Rongrong Zhou
- Department of Medicine University of California San Diego La Jolla CA
| | - Lu Jiang
- Department of Medicine University of California San Diego La Jolla CA
| | - Shilpa Nath
- Department of Medicine University of California San Diego La Jolla CA
| | - Rohit Loomba
- Department of Medicine University of California San Diego La Jolla CA
| | - Juan G Abraldes
- Department of Medicine University of Alberta Edmonton AB Canada
| | - Ramon Bataller
- Division of Gastroenterology, Hepatology and Nutrition Department of Medicine Pittsburgh Liver Research Center University of Pittsburgh Medical Center Pittsburgh PA
| | - Xin M Tu
- Department of Biostatistics and Bioinformatics Department of Family Medicine and Public Health University of California San Diego San Diego CA
| | - Peter Stärkel
- St. Luc University Hospital Université Catholique de Louvain Brussels Belgium
| | - Trevor D Lawley
- Host-Microbiota Interactions Laboratory Wellcome Sanger Institute Wellcome Genome Campus Hinxton United Kingdom
| | - Oliver Fiehn
- West Coast Metabolomics Center University of California Davis Davis CA
| | - Bernd Schnabl
- Department of Medicine University of California San Diego La Jolla CA.,Department of Medicine VA San Diego Healthcare System San Diego CA
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Gao B, Alonzo-Palma N, Brooks B, Jose A, Barupal D, Jagadeesan M, Nobakht E, Collins A, Ramezani A, Omar B, Amdur RL, Raj DS. A Pilot Study on the Effect of Prebiotic on Host-Microbial Co-metabolism in Peritoneal Dialysis Patients. Kidney Int Rep 2020; 5:1309-1315. [PMID: 32775832 PMCID: PMC7403565 DOI: 10.1016/j.ekir.2020.05.023] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/13/2020] [Accepted: 05/19/2020] [Indexed: 11/17/2022] Open
Affiliation(s)
- Bei Gao
- Department of Medicine, University of California, San Diego, California, USA
| | | | | | - Adarsh Jose
- Kaleido Biosciences, Lexington, Massachusetts, USA
| | - Dinesh Barupal
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mt Sinai, New York, New York, USA
| | - Muralidharan Jagadeesan
- Division of Kidney Diseases and Hypertension, George Washington University School of Medicine, Washington, DC, USA
| | - Ehsan Nobakht
- Division of Kidney Diseases and Hypertension, George Washington University School of Medicine, Washington, DC, USA
| | - Ashte Collins
- Division of Kidney Diseases and Hypertension, George Washington University School of Medicine, Washington, DC, USA
| | - Ali Ramezani
- Division of Kidney Diseases and Hypertension, George Washington University School of Medicine, Washington, DC, USA
| | - Badryah Omar
- Division of Kidney Diseases and Hypertension, George Washington University School of Medicine, Washington, DC, USA
| | - Richard L. Amdur
- Department of Surgery, George Washington University School of Medicine, Washington, DC, USA
| | - Dominic S. Raj
- Division of Kidney Diseases and Hypertension, George Washington University School of Medicine, Washington, DC, USA
- Correspondence: Dominic S. Raj, Division of Kidney Diseases and Hypertension, George Washington University, 2150 Pennsylvania Avenue NW, Washington, DC, USA.
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Maruvada P, Lampe JW, Wishart DS, Barupal D, Chester DN, Dodd D, Djoumbou-Feunang Y, Dorrestein PC, Dragsted LO, Draper J, Duffy LC, Dwyer JT, Emenaker NJ, Fiehn O, Gerszten RE, B Hu F, Karp RW, Klurfeld DM, Laughlin MR, Little AR, Lynch CJ, Moore SC, Nicastro HL, O'Brien DM, Ordovás JM, Osganian SK, Playdon M, Prentice R, Raftery D, Reisdorph N, Roche HM, Ross SA, Sang S, Scalbert A, Srinivas PR, Zeisel SH. Perspective: Dietary Biomarkers of Intake and Exposure-Exploration with Omics Approaches. Adv Nutr 2020; 11:200-215. [PMID: 31386148 PMCID: PMC7442414 DOI: 10.1093/advances/nmz075] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
While conventional nutrition research has yielded biomarkers such as doubly labeled water for energy metabolism and 24-h urinary nitrogen for protein intake, a critical need exists for additional, equally robust biomarkers that allow for objective assessment of specific food intake and dietary exposure. Recent advances in high-throughput MS combined with improved metabolomics techniques and bioinformatic tools provide new opportunities for dietary biomarker development. In September 2018, the NIH organized a 2-d workshop to engage nutrition and omics researchers and explore the potential of multiomics approaches in nutritional biomarker research. The current Perspective summarizes key gaps and challenges identified, as well as the recommendations from the workshop that could serve as a guide for scientists interested in dietary biomarkers research. Topics addressed included study designs for biomarker development, analytical and bioinformatic considerations, and integration of dietary biomarkers with other omics techniques. Several clear needs were identified, including larger controlled feeding studies, testing a variety of foods and dietary patterns across diverse populations, improved reporting standards to support study replication, more chemical standards covering a broader range of food constituents and human metabolites, standardized approaches for biomarker validation, comprehensive and accessible food composition databases, a common ontology for dietary biomarker literature, and methodologic work on statistical procedures for intake biomarker discovery. Multidisciplinary research teams with appropriate expertise are critical to moving forward the field of dietary biomarkers and producing robust, reproducible biomarkers that can be used in public health and clinical research.
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Affiliation(s)
- Padma Maruvada
- National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA
| | - Johanna W Lampe
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
- School of Public Health, University of Washington, Seattle, WA, USA
| | - David S Wishart
- Departments of Biological Sciences and Computing Science, University of Alberta, Edmonton, Alberta, Canada
| | - Dinesh Barupal
- West Coast Metabolomics Center, UC Davis Genome Center, University of California, Davis, Davis, CA, USA
| | - Deirdra N Chester
- Division of Nutrition, Institute of Food Safety and Nutrition at the National Institute of Food and Agriculture, USDA, Washington, DC, USA
| | - Dylan Dodd
- Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA
- Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA
| | - Yannick Djoumbou-Feunang
- Departments of Biological Sciences and Computing Science, University of Alberta, Edmonton, Alberta, Canada
| | - Pieter C Dorrestein
- Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla, CA, USA
- Center for Microbiome Innovation, University of California, San Diego, La Jolla, CA, USA
| | - Lars O Dragsted
- Department of Nutrition, Exercise, and Sports, Section of Preventive and Clinical Nutrition, University of Copenhagen, Copenhagen, Denmark
| | - John Draper
- Institute of Biological Environmental and Rural Sciences, Aberystwyth University, Aberystwyth, Ceredigion, United Kingdom
| | - Linda C Duffy
- National Institutes of Health, National Center for Complementary and Integrative Health, Bethesda, MD, USA
| | - Johanna T Dwyer
- National Institutes of Health, Office of Dietary Supplements, Bethesda, MD, USA
| | - Nancy J Emenaker
- National Institutes of Health, National Cancer Institute, Rockville, MD, USA
| | - Oliver Fiehn
- West Coast Metabolomics Center, UC Davis Genome Center, University of California, Davis, Davis, CA, USA
| | - Robert E Gerszten
- Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Frank B Hu
- Departments of Nutrition; Epidemiology and Statistics, Harvard TH Chan School of Public Health, Boston, MA, USA
- Channing Division for Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
| | - Robert W Karp
- National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA
| | - David M Klurfeld
- Department of Nutrition, Food Safety/Quality, USDA—Agricultural Research Service, Beltsville, MD, USA
| | - Maren R Laughlin
- National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA
| | - A Roger Little
- National Institutes of Health, National Institute on Drug Abuse, Bethesda, MD, USA
| | - Christopher J Lynch
- National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA
| | - Steven C Moore
- National Institutes of Health, National Cancer Institute, Rockville, MD, USA
| | - Holly L Nicastro
- National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, MD, USA
| | - Diane M O'Brien
- Institute of Arctic Biology, University of Alaska Fairbanks, Fairbanks, AK, USA
| | - José M Ordovás
- Nutrition and Genomics Laboratory, Jean Mayer–USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA, USA
| | - Stavroula K Osganian
- National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, USA
| | - Mary Playdon
- Department of Nutrition and Integrative Physiology, University of Utah and Division of Cancer Population Sciences, Huntsman Cancer Institute, Salt Lake City, UT, USA
| | - Ross Prentice
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
- School of Public Health, University of Washington, Seattle, WA, USA
| | - Daniel Raftery
- Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
- School of Medicine, University of Washington, Seattle, WA, USA
| | | | - Helen M Roche
- Nutrigenomics Research Group, School of Public Health, Physiotherapy and Sports Science, UCD Institute of Food and Health, Diabetes Complications Research Centre, University College Dublin, Dublin, Ireland
| | - Sharon A Ross
- National Institutes of Health, National Cancer Institute, Rockville, MD, USA
| | - Shengmin Sang
- Laboratory for Functional Foods and Human Health, Center for Excellence in Post-Harvest Technologies, North Carolina A&T State University, North Carolina Research Campus, Nutrition Research Building, Kannapolis, NC, USA
| | - Augustin Scalbert
- International Agency for Research on Cancer, Nutrition and Metabolism Section, Biomarkers Group, Lyon, France
| | - Pothur R Srinivas
- National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, MD, USA
| | - Steven H Zeisel
- Nutrition Research Institute, University of North Carolina at Chapel Hill, Kannapolis, NC, USA
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11
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Axton E, Barupal D, Fiehn O. Mouse Knockout Metabolomics Elucidates Metabolic Functions of Mammalian Genes. FASEB J 2018. [DOI: 10.1096/fasebj.2018.32.1_supplement.lb108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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12
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Zarrinpar A, Palumbo T, Barupal D. Abstract B12: Analysis of Lipid Metabolism and Gene Expression in Hepatocellular Carcinoma Reveals Mitochondrial Function as a Potential Target for Combinatorial Treatment. Mol Cancer Ther 2017. [DOI: 10.1158/1538-8514.synthleth-b12] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Hepatocellular carcinoma (HCC), the most common malignant liver tumor, is a heterogeneous disease with little efficacious chemotherapy. Lipid metabolic dysfunction is integral to the pathogenesis of HCC, but the underlying mechanisms remain poorly understood. HCC cell lines and patient tumors can be classified into hepatocyte and hepatoblast subtypes based on gene expression patterns, with the hepatoblast type being more aggressive.
Methods: We characterized the RNA expression profiles of 20 HCC cell lines (13 hepatoblast and 7 hepatocyte type) and 1 normal immortalized liver cell line. We also characterized the steady state concentrations of hundred of metabolites of these cells lines. In addition, to find the specific small molecules to inhibit their growth we tested a panel of metabolic pathway inhibitors for activity against these cell lines.
Results: There are significant differences between the transcriptional profiles of the two subtypes of HCC, as well as between HCC cell lines and the normal liver cell line. The most important determinants of these differences are in lipid metabolic pathways. Analysis of the microarray data, corroborated by real time quantitative PCR analysis showed significant difference between transcript levels of ACOX1, ACOX2, FASN, SCD1, and SCAP, as well as in fatty acid transport proteins (FATPs, SLC27As) and elongation enzymes (ELOVL). Metabolomic studies show that not only are there differences between the steady state amounts of long chain and very long chain fatty acids among the groups, but there are also differences in the levels of acyl-carnitines. These differences indicate that there is variability in their reliance on mitochondrial oxidative respiration. Accordingly, there are significant differences between the sensitivity of the HCC cell lines to oligomycin compared with a normal liver cell line.
Conclusion: These data point to the importance of lipid metabolic and mitochondrial oxidative dysfunction in the pathogenesis of hepatocellular carcinoma. We anticipate combining the inhibition of oxidative phosphorylation with the standard of care treatment consisting of sorafenib to allow for a much lower and better tolerated dose of both drugs while maintaining anti-tumor efficacy.
Citation Format: Ali Zarrinpar, Tiziana Palumbo, Dinesh Barupal. Analysis of Lipid Metabolism and Gene Expression in Hepatocellular Carcinoma Reveals Mitochondrial Function as a Potential Target for Combinatorial Treatment [abstract]. In: Proceedings of the AACR Precision Medicine Series: Opportunities and Challenges of Exploiting Synthetic Lethality in Cancer; Jan 4-7, 2017; San Diego, CA. Philadelphia (PA): AACR; Mol Cancer Ther 2017;16(10 Suppl):Abstract nr B12.
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13
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Zamora-Ros R, Barupal D, Rothwell JA, Jenab M, Fedirko V, Romieu I, Aleksandrova K, Overvad K, Kyrø C, Tjønneland A, Affret A, His M, Boutron-Ruault MC, Katzke V, Kühn T, Boeing H, Trichopoulou A, Naska A, Kritikou M, Saieva C, Agnoli C, Santucci de Magistris M, Tumino R, Fasanelli F, Weiderpass E, Skeie G, Merino S, Jakszyn P, Sánchez MJ, Dorronsoro M, Navarro C, Ardanaz E, Sonestedt E, Ericson U, Maria Nilsson L, Bodén S, Bueno-de-Mesquita HB, Peeters PH, Perez-Cornago A, Wareham NJ, Khaw KT, Freisling H, Cross AJ, Riboli E, Scalbert A. Dietary flavonoid intake and colorectal cancer risk in the European prospective investigation into cancer and nutrition (EPIC) cohort. Int J Cancer 2017; 140:1836-1844. [PMID: 28006847 PMCID: PMC6241848 DOI: 10.1002/ijc.30582] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Revised: 12/01/2016] [Accepted: 12/02/2016] [Indexed: 12/13/2022]
Abstract
Flavonoids have been shown to inhibit colon cancer cell proliferation in vitro and protect against colorectal carcinogenesis in animal models. However, epidemiological evidence on the potential role of flavonoid intake in colorectal cancer (CRC) development remains sparse and inconsistent. We evaluated the association between dietary intakes of total flavonoids and their subclasses and risk of development of CRC, within the European Prospective Investigation into Cancer and Nutrition (EPIC) study. A cohort of 477,312 adult men and women were recruited in 10 European countries. At baseline, dietary intakes of total flavonoids and individual subclasses were estimated using centre-specific validated dietary questionnaires and composition data from the Phenol-Explorer database. During an average of 11 years of follow-up, 4,517 new cases of primary CRC were identified, of which 2,869 were colon (proximal = 1,298 and distal = 1,266) and 1,648 rectal tumours. No association was found between total flavonoid intake and the risk of overall CRC (HR for comparison of extreme quintiles 1.05, 95% CI 0.93-1.18; p-trend = 0.58) or any CRC subtype. No association was also observed with any intake of individual flavonoid subclasses. Similar results were observed for flavonoid intake expressed as glycosides or aglycone equivalents. Intake of total flavonoids and flavonoid subclasses, as estimated from dietary questionnaires, did not show any association with risk of CRC development.
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Affiliation(s)
- Raul Zamora-Ros
- Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France
- Unit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
| | - Dinesh Barupal
- Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France
- Genome Center, University of California, Davis, US
| | - Joseph A. Rothwell
- Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France
| | - Mazda Jenab
- Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France
| | - Veronika Fedirko
- Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA
| | - Isabelle Romieu
- Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France
| | - Krasimira Aleksandrova
- Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
| | - Kim Overvad
- Department of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark
| | - Cecilie Kyrø
- Danish Cancer Society Research Center, Copenhagen, Denmark
| | | | - Aurélie Affret
- Université Paris-Saclay, Université Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France
- Institut Gustave Roussy, F-94805, Villejuif, France
| | - Mathilde His
- Université Paris-Saclay, Université Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France
- Institut Gustave Roussy, F-94805, Villejuif, France
| | - Marie-Christine Boutron-Ruault
- Université Paris-Saclay, Université Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France
- Institut Gustave Roussy, F-94805, Villejuif, France
| | - Verena Katzke
- Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany
| | - Tilman Kühn
- Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany
| | - Heiner Boeing
- Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
| | - Antonia Trichopoulou
- Hellenic Health Foundation, Athens, Greece
- WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Dept. of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Greece
| | - Androniki Naska
- Hellenic Health Foundation, Athens, Greece
- WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Dept. of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Greece
| | | | - Calogero Saieva
- Cancer Risk Factors and Life-Style Epidemiology Unit, Cancer Research and Prevention Institute – ISPO, Florence, Italy
| | - Claudia Agnoli
- Nutritional Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | | | - Rosario Tumino
- Cancer Registry and Histopathology Unit, "Civic M.P. Arezzo" Hospital, ASP Ragusa, Italy
| | - Francesca Fasanelli
- Unit of Cancer Epidemiology, Deparment of Medical Scienzes, University of Turin, Turin, Italy
- Città della Salute e della Scienza Hospital, Turin, Italy
| | - Elisabete Weiderpass
- Department of Community Medicine, Faculty of Health Sciences, UiT The Artic University of Tromsø, Tromsø, Norway
- Department of Research, Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo, Norway
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
- Genetic Epidemiology Group, Folkhälsan Research Center, Helsinki, Finland
| | - Guri Skeie
- Department of Community Medicine, Faculty of Health Sciences, UiT The Artic University of Tromsø, Tromsø, Norway
| | | | - Paula Jakszyn
- Unit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
| | - Maria-José Sánchez
- Escuela Andaluza de Salud Pública. Instituto de Investigación Biosanitaria ibs.Granada. Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain
- CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
| | - Miren Dorronsoro
- CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
- Public Health Division of Gipuzkoa, Regional Government of the Basque Country, Spain
| | - Carmen Navarro
- CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
- Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain
- Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain
| | - Eva Ardanaz
- CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
- Navarre Public Health Institute, Pamplona, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
| | - Emily Sonestedt
- Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden
| | - Ulrika Ericson
- Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden
| | - Lena Maria Nilsson
- Nutritional Research and Arcum, Arctic Research Centre at Umeå University, Umeå, Sweden
| | - Stina Bodén
- Department of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden
| | - H Bas Bueno-de-Mesquita
- Department for Determinants of Chronic Diseases (DCD), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
- School of Public Health, Imperial College London, London, United Kingdom
- Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Petra H. Peeters
- School of Public Health, Imperial College London, London, United Kingdom
- Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands
| | | | - Nicholas J. Wareham
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - Kay-Thee Khaw
- Department of Public Health and Primary Care, University of Cambridge, UK
| | - Heinz Freisling
- Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France
| | - Amanda J Cross
- School of Public Health, Imperial College London, London, United Kingdom
| | - Elio Riboli
- School of Public Health, Imperial College London, London, United Kingdom
| | - Augustin Scalbert
- Section of Nutrition and Metabolism, International Agency for Research on Cancer (IARC-WHO), Lyon, France
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